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LEAH BUENEMAN PA-C
NPI 1841835154
Physician Assistant in Mystic, CT

Active since November 11, 2019
55 WILLOW ST, MYSTIC, CT 06355(860) 572-6868 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2022, Dec 5, 2019, Nov 11, 2019 (3 updates tracked since 2019).

About Leah Bueneman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH BUENEMAN PA-C (NPI 1841835154) is an individual physician assistant in Mystic, Connecticut, licensed in Connecticut (5639) and active in the NPI registry since November 2019. She maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1841835154
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLEAH BUENEMANCredential: PA-C
Location Address55 WILLOW STMystic, CT 06355-2636
Mailing Address4 Windward LnOld Lyme, CT 06371-1861 · (410) 310-3021
Phone(860) 572-6868
Sole ProprietorNo
Enumeration DateNovember 11, 2019
Last NPPES UpdateApril 8, 20223 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1841835154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CT · 5639✔ Licensed in SC · 3372
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
55 WILLOW ST, Mystic, CT 06355
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Secondary Practice Location 1

Location 11300 Hospital Dr Ste 120Mount Pleasant, SC 29464-3204 · Phone (843) 849-8418

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIELLA DUKE M.D.
Dermatology
55 WILLOW ST
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 245-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Bueneman's NPI number?

The NPI number for Leah Bueneman is 1841835154. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Where is Leah Bueneman located?

Leah Bueneman practices at 55 Willow St, Mystic, CT 06355. The listed phone number is (860) 572-6868.

What is Leah Bueneman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Leah Bueneman was last updated on April 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.